In fractures with varying degrees of comminution, it is possible for cortical bone fragments to become entrapped within the intramedullary canal. There have been prior case reports on complications associated with incarcerated fragments; however, there has been no proposed solution. The current case shows how 2 cortical fragments in the distal segment of a comminuted femur fracture impeded pass...

Comminuted fractures of the radial head still present signi ̄cant technical and surgical challenges. In this article, we describe a novel ̄xation of comminuted radial head fractures with the help of an intramedullary nail. Experiments with solid, conventionally machined intramedullary nails showed some major drawbacks in the ̄xation of radial head fractures. Several design and manufacturing proc...

Comminuted, intra-articular calcaneal fractures can cause severe lower extremity impairment and have devastating effects on a patient's well being. Diabetes is a multisystem process that may cause neuropathy and loss of protective sensation further complicating the prognosis. Not all calcaneal fractures are created equal and when considering the patient's overall presentation and extent of inju...

Our aim was to determine the clinical effectiveness and safety of Ilizarov external fixation for the acute treatment of severely comminuted extra-articular and intercondylar fractures of the distal femur. A total of 14 consecutive patients with complex fractures was treated. There were three type-A3, two type-C2 and nine type-C3 fractures according to the AO/ASIF system. The mean follow-up was ...

MD Wells, S Oishi, M Sengezer. Sagittal fractures of the palate: A new method of treatment. Can J Plast Surg 1995;3(2):87-92. A new technique is described for stabilizing complex vertical fractures of the maxilla. Advantageous use of the comminuted fracture pattern of the maxillary buttresses allows the maxilla to be divided into two parts at the Le Fort I level. With intermaxillary fixation ap...